| NPI | 1912172891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: OH 35.096499) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.096499) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2020-01-15 |